Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Corrisa Malat

Individual provider Behavior Technician · NPI 1790457612

Corrisa Malat is a Behavior Technician in Portland, Oregon. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

1715 SE 32nd Pl
Portland, OR 97214-5016
Phone: (503) 234-9591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1790457612
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 29, 2021
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023
Mailing address1715 Se 32nd Pl, Portland, OR 97214-5016

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